Individual ProviderRita S ClaiborneNon-emergency Medical Transport (VAN)Transportation ServicesPractice Address1523 S Gonzales Trace Ave, Gonzales, LA 70737-1605(225) 227-0973PECOS EnrollmentBased on the most recent information from CMS, provider Rita S Claiborne does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1598181869Provider TypeIndividualFull NameClaiborne, Rita SCredentialOWNERGenderFemaleSole ProprietorYesEnumeration Date3/11/2014Last Updated2/13/2025Contact InformationPractice LocationPractice Address1523 S Gonzales Trace Ave, Gonzales, LA 70737-1605Phone(225) 227-0973Fax(225) 264-6408Mailing LocationMailing Address1523 S Gonzales Trace Ave, Gonzales, LA 70737-1605Phone(225) 227-0973Fax(225) 264-6408Provider TaxonomiesCodeDescriptionLicenseCode343900000XPrimaryDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseM3458LouisianaProvider IdentifiersIDDescriptionIssuerID46-4170007DescriptionMedicaidIssuerUnlistedLouisiana